MOHs on left side of nose and grossly uneven nostrils. Any suggestions? (photos)

Question

MOHs done on the left side of nose, went directly to a plastic surgeon the same day to close. Had bilobed flap done & immediately saw nostrils were VERY uneven & lopsided. Stitches out at 5 days & steri strips put on. Currently at day 9 & nostrils have not changed. Doesn't appear to be too swollen. Will they correct? How long will it take? This is alot of distortion to live with at age 46. Not so worried about my scar anymore, but going through life looking like a demented Miss Piggy.

Adam Stibich, MD · Answer

Your only 10 days out. You can have pillowing or pincushion effect for nearly 3 months and it will start to improve. Massage area, sometimes a little steroid injection thins things out. You have to give it some time but will improve.

Andrew Kaufman, MD · Answer

Best option is to follow up with the doctor who performed the reconstruction. It is possible that with time (and perhaps intralesional steroids, massage) the appearance will improve. It takes 6-12 months to reach the final result after reconstructive surgery. If things don't improve or you lose confidence in the first doctor, get a second opinion from somebody who does a lot of reconstruction and bilobed transposition flaps. Good luck.

MOHs on left side of nose and grossly uneven nostrils. Any suggestions? (photos)

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Everything you need to know about Mohs Surgery

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MOHs on left side of nose and grossly uneven nostrils. Any suggestions? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Mohs Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.